Emergency chest wall reconstruction in open pneumo-thorax from gunshot chest: A case report.
J Pak Med Assoc
; 70(Suppl 1)(2): S118-S121, 2020 Feb.
Article
en En
| MEDLINE
| ID: mdl-31981350
ABSTRACT
Chest trauma, penetrating or blunt is common in this era of motor vehicle accidents, violence and terrorism in South Asia. Islamabad is the capital of Pakistan but there is no dedicated chest surgery unit in any government sector hospitals. Gunshot chest, is therefore managed by general surgery team in our tertiary care setting i.e. Federal Government Polyclinic Hospital and Post Graduate Medical Institute, Islamabad. We report a case of gunshot chest with lung contusion and open pneumothorax with a chest wall defect of 10 x 15 cm. in March 2015, this young man presented in emergency department of Federal Government Polyclinic Hospital (FGPC), Post Graduate Medical Institute (PGMI) Islamabad in shock after self-inflicted point blank suicidal gunshot to his left anterolateral chest. After primary resuscitation, the patient was shifted to OR, and a left anterolateral thoracotomy performed. Lung contusion was repaired and chest drain placed. The challenging task of closing the huge chest wall defect was performed by rotating the left latissimus dorsi muscle flap. The patient was shifted to ICU and remained stable postoperatively.
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Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Neumotórax
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Traumatismos Torácicos
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Heridas por Arma de Fuego
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Procedimientos de Cirugía Plástica
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Pared Torácica
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Lesión Pulmonar
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Músculos Superficiales de la Espalda
Límite:
Adult
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Humans
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Male
Idioma:
En
Revista:
J Pak Med Assoc
Año:
2020
Tipo del documento:
Article